系统性红斑狼疮患者合并巨大肩袖损伤的观察和护理.pdf

Nursing Science 护理学, 2016, 5(2), 7-12 Published Online April 2016 in Hans. /journal/ns /10.12677/ns.2016.52002 Observation and Nursing of Massive Rotator Cuff Tears Combined with Systemic Lupus Erythematosus Xiaojie Zhang, Shuang Zhang, Hui An Beijing Jishuitan Hospital, Beijing th st th Received: Mar. 18 , 2016; accepted: Apr. 1 , 2016; published: Apr. 7 , 2016 Copyright © 2016 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Systemic lupus erythematosus (SLE) is a kind of autoimmune disease, which is difficult to treat clinically nowadays. Rotator cuff tears (RCT) are more common in elder patients, many of whom would complain about pain, stiffness and weakness. The combination of the above two diseases could cause severe functional loss of the quality of life to the patient. In recent years, the treatment of arthroscopic surgeries for RCT is well developed. With the minimal invasion of the arthroscopic surgery, post-operative rehabilitation could be applied earlier. However, many of the patients would worry about that the surgery may get SLE worse, and choose conservative treatment in- stead, which leads to progressing of the RCT. This article reports one patient with massive RCT combined with SLE, who was admitted into our ward in September 2013. Before the operation, the long-term conservative treatment resulted in a poor clinical function of the shoulder joint and bad condition of quality of life. The forward elevation was 85˚, and the external rotation wa